KEVIN WISDOM

FAYETTEVILLE, AR
NPI1063485670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT2490)
Enumeration Date2006-02-13
Last Update Date2010-12-14
Business Address
-- KEVIN WISDOM P.T.
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-521-2752
Mailing Address
-- KEVIN WISDOM P.T.
PO BOX 1608
FAYETTEVILLE, AR 72702-1608
Phone number: 479-521-2752
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